1. Community Collaboration A Community Promotora Model
Sylvia Jimenez, MPH
Manager, Community Benefit Program
Kaiser Permanente
Northern California Region

2. Presentation Overview
Review Strategies on collaboration between agencies
Present a model to train community promotoras on leadership, relationship building and decision making skills

3. Collaboration Partners
Kaiser Permanente
Congregations Organizing for Renewal (COR)
Tiburcio Vasquez Health Center

4. Kaiser Permanente Community Benefit Program Community Benefit is central to Kaiser Permanente’s mission
Our comprehensive approach is unique and comes from our heritage, structure, and capacities
Fulfills our social purpose
Allows us to engage the people of Kaiser Permanente, our members, and the community
Kaiser Permanente’s comprehensive approach is unique and comes from our heritage, structure, and capacities – this differentiates us from other healthcare organizations.
The Community Benefit program fulfills our social purpose because it directly supports our mission to help achieve total health for our members and the communities we serve.
Community Benefit engages us with our employees, who live in our communities; our members, whom we serve; and the public.

5. Our programs are more important now than ever
Rising cost of health care
Growing uninsured population
Serious and growing health problems, such as obesity
Having a Community Benefit Program is more important today than ever before for many reasons:
The rising cost of healthcare for both employers and individuals.
Our country’s growing uninsured population.
Health crises among our population such as obesity, diabetes, coronary heart disease, and asthma

6. Community Benefit Funding
Our Community Benefit portfolio encompasses nearly 40 programs
In 2007, Our service area has awarded over $750,000 in Community Benefit Grants to 43 non-profit organizations
The Community Benefit portfolio is broad and deep, encompassing over 40 programs. It includes education programs, grant programs, subsidizing medical and charity care, and youth employment programs, among others.
In 2007, our service area awarded over $750,000 dollars in grants to 43 non-profit organizations

7. 2007 Health Priorities Our core areas of focus
Reduce Rates of Obesity in Adults and Children
Improve Prevention and Management of Diabetes
Improve Prevention and Management of Coronary Heart Disease
Improve Prevention and Management of Childhood Asthma
Reduce Pregnancy rates among year olds

8. We are investing in the Safety Net
Kaiser Permanente Safety Net partnership with community clinics and public hospitals
Access to quality, affordable care
Long-term, large-scale commitments
More than 6 million Californians live with no coverage, or inadequate health insurance.
In 2002, Kaiser Permanente signed a formal Safety Net partnership agreement with 12 regional and statewide clinic associations, representing more than 600 nonprofit community clinics, public hospitals and health centers.
CB directs funding and its expertise to help community clinic and health organizations bring prevention and access to quality care to patient populations at risk of racial and ethnic health disparities, with a particular focus on the management of chronic conditions.
Our service area Safety Net Providers Include: Davis Street Family Resource Center, Tiburcio Vasquez Health Center, Tri-City Health Center

9. We are building partnerships with Safety Net providers
Expand access to care
Improve the quality of care
Reduce disparities
Develop policy and advocacy capacity
Collaborate with one another
We are strengthening the Safety Net by partnering with community clinics and public hospitals. Through our partnerships, we:
Improve access to primary, specialty, and preventive care
Improve the quality of care by sharing evidence-based quality improvement and chronic disease management strategies
Improve health outcomes in underserved communities by working to reduce ethnic and racial health disparities
Develop policy and advocacy capacity in regional clinic networks
Nurture collaboration within Safety Net provider networks (public hospitals and community clinics)
Our service area Safety Net Providers Include: Davis Street Family Resource Center, Tiburcio Vasquez Health Center, Tri-City Health Center

10. Our goal is total health for all of our communities
Best practices
Quality Improvement
Health Information Technology
Kaiser Permanente is committed to maintaining long term Safety Net partnerships throughout California that will result in expanded services, better outcomes, healthier patients and healthier communities for years to come.
We share best practices including: evidence-based clinical care guidelines, provider trainings, and health education materials to address major health issues such as diabetes, emerging issues such as chronic pain and new approaches to cardiovascular disease
Quality Improvement grants fund community initiatives to implement clinical data tracking systems, support the integration of mental health into primary care, and to support the management of chronic diseases.
HIT grants provide technological expertise, equipment, training and planning to help manage the demand for and improved access to specialty care.

11. Community Collaborations and Strategies
Community Needs Assessments
Strategic Grants
Collaborative Grants
Partnerships
Sponsorships

12. Congregations Organizing for Renewal (COR) Project
Build Leadership Skills
Build Capacity in educating neighbors on health issues such as asthma, diabetes and nutrition/weight management
Encouraging neighbors to change their environments
Help to empower hard-to-reach monolingual and bilingual Latino immigrant residents

13. COR Promotora Training
10 trainings were conducted and a total of 50 promotoras were trained
Topics included:
One-on-one relationship building
Outreach
Research
Conducting Effective Meetings
Opportunities to increase access to health care

14. COR Promotora Training Outcomes
Helped to build capacity in leadership, outreach, and decision making skills
Identified the causes of and potential solutions for health and community-related problems
Developed outreach action plans
Initiated over 250 one-on-one conversations with immigrant families in their homes
Participated in two “sign-up” days to enroll children and families into health care coverage